| NPI | 1629619770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 222822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905253) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2025-04-16 |